Organization
KEEN MOBILITY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY CARLETON (VP BUSINESS DEVELOPMENT)
(503) 285-9090
Entity
Organization
Contact information
Practice address
733 SW OAK ST, SUITE 200, PORTLAND, OR 97205-3712
(503) 285-9090
(503) 223-9488
Mailing address
733 SW OAK ST, SUITE 200, PORTLAND, OR 97205-3712
(503) 285-9090
(503) 223-9488
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1167255-2
OR
332B00000X
Durable Medical Equipment & Medical Supplies
14418
VA
332B00000X
Durable Medical Equipment & Medical Supplies
321
NC
332B00000X
Durable Medical Equipment & Medical Supplies
IMP 143710
CA
332B00000X
Durable Medical Equipment & Medical Supplies
MFG.UT.0001566.OR
CT
332B00000X
Durable Medical Equipment & Medical Supplies
UT 1566 (OR)
UT
332B00000X
Durable Medical Equipment & Medical Supplies
UT-1566-OR-O
OK
332B00000X
Durable Medical Equipment & Medical Supplies
UT1566 WV FILE#1968
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
233141
—
OR
05
—
9055716
—
WA
Enumeration date
07/07/2005
Last updated
08/22/2020
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